Fri.Jan 24, 2025

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Storm Warning: Recognizing Thyroid Storm in the ED

EM Board Bombs

-Case- A 38-year-old woman with a history of Graves’ disease arrives at your ED. Her family says she’s been “acting strange” and vomiting for the past few days, and today, she’s confused and restless. On exam, she’s febrile to 101.5F, tachycardic to145, and her blood pressure is 165/95. She’s diaphoretic, tremulous, and clearly agitated.

ED 52
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Inside the Mind of a Trauma Doc

The FllightBridge ED

Insights in to trauma care with Alert Medic 1 and Dr. Zaffer Qasim.

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Storm Warning: Recognizing Thyroid Storm in the ED

EM Board Bombs

-Case- A 38-year-old woman with a history of Graves’ disease arrives at your ED. Her family says she’s been “acting strange” and vomiting for the past few days, and today, she’s confused and restless. On exam, she’s febrile to 101.5F, tachycardic to145, and her blood pressure is 165/95. She’s diaphoretic, tremulous, and clearly agitated.

ED 52
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AAA Releases 2025 Medicare Rate Calculator

American Ambulance Association

On December 23, 2024, CMS posted a revised version of the CY 2025 Ambulance Fee Schedule Public Use Files on its website. These files contain the Medicare allowed amounts for […] The post AAA Releases 2025 Medicare Rate Calculator appeared first on American Ambulance Association.

Ambulance 130
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Should we wait for troponin when the ECG does not show "diagnostic" ST Elevation?

Dr. Smith's ECG Blog

Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD) presented with acute substernal chest pressure with diaphoresis which woke him from sleep just after midnight. He said it felt like "someone ripped [his] heart out." Ominous. While walking into the ED, the patient had an episode of "dizziness" causing him to fall onto his stomach.

STEMI 125
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ADAPT-Sepsis: PCT or CRP Guided Antibiotic Duration

The Bottom Line

ADAPT-Sepsis: PCT or CRP-guided Antibiotic Duration for Patients with suspected Sepsis Dark et al. JAMA Dec 9 2024. doi:10.1001/jama.2024.26458 Clinical Question For critically ill adults with suspected sepsis, does a procalcitonin (PCT) guided or C-reactive protein (CRP) guided antibiotic discontinuation prompt, compared with usual care, reduce the total duration of antibiotics without increasing all-cause 28-day mortality?

OR 115